Individual
CHALINEE JILL INTARACHOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
360 SAN MIGUEL DR, 301, NEWPORT BEACH, CA 92660-7853
(949) 759-0300
Mailing address
2801 ALTON PKWY APT 325, IRVINE, CA 92606-2179
(909) 573-4521
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36239
CA
Other
Enumeration date
09/29/2010
Last updated
05/03/2016
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